Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.00 / $471.03 / $2,520.13	Professional		$397.00	$471.03	$2,520.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.99 / $631.78 / $1,219.66	Professional		$483.99	$631.78	$1,219.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $363.67 / $521.23 / $1,157.61	Professional		$363.67	$521.23	$1,157.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.88 / $595.73 / $1,256.24	Professional		$450.88	$595.73	$1,256.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $431.12 / $544.69 / $815.52	Professional		$431.12	$544.69	$815.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.90 / $621.54 / $1,097.32	Professional		$448.90	$621.54	$1,097.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,174.94 / $4,754.80 / $26,542.00	Facility		$2,174.94	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,569.61 / $3,687.40 / $3,901.05	Professional		$3,569.61	$3,687.40	$3,901.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $471.23 / $598.30 / $815.77	Facility		$471.23	$598.30	$815.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.88 / $604.90 / $1,234.54	Professional		$450.88	$604.90	$1,234.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,563.70 / $1,563.70 / $1,563.70	Professional		$1,563.70	$1,563.70	$1,563.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $440.11 / $605.15 / $815.52	Professional		$440.11	$605.15	$815.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,106.00 / $14,636.00	Facility		$3,698.00	$7,106.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.89 / $507.03 / $1,100.80	Professional		$379.89	$507.03	$1,100.80